Hospital
SSM Audrain Health Care, INC
SSM Audrain Health Care, INC was paid $1.00M by Medicaid between Jan 2018 and Mar 2022, across 14 billing codes. Its largest line is X4011, State-specific procedure code — 34% of everything it billed.
33Billing provider infoSSM AUDRAIN HEALTH CARE, INC
MEXICO, MO 65265
MEXICO, MO 65265
33aNPI1952390122assigned 10/19/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.00M
24GClaims5,112
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other General Acute Care Hospital providers in Missouri
Rank by total paid#48 of 74
Median peer was paid$4.44M
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,805 | $525K | |
| 2019 | 1,328 | $389K | |
| 2020 | 1,127 | $89K | |
| 2021 | 769 | $41.02 | |
| 2022 | 83 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| X4011 | State-specific procedure code | 34% | 1,058 | 1,044 | $337K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 28% | 1,180 | 1,157 | $283K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 14% | 274 | 268 | $137K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.8% | 620 | 494 | $98K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.7% | 186 | 178 | $77K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.2% | 1,199 | 1,164 | $42K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.3% | 294 | 287 | $13K |
| 80053 | Comprehensive metabolic panel | <1% | 36 | 36 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | 12 | $3K |
| 83655 | <1% | 48 | 46 | $925.49 | |
| 85018 | <1% | 58 | 58 | $682.63 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 73 | 73 | $0.00 |
2 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialNEUENDORF, DAVID (PRESIDENT CEO)
| Provider | Location | Paid |
|---|---|---|
| SSM Audrain Health Care, INC | Mexico, MO | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.